Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study

Farid Najafi; Yahya Pasdar; Behzad Karami Matin; Satar Rezaei; Ali Kazemi Karyani; Shahin Soltani; Moslem Soofi; Shahab Rezaeian; Alireza Zangeneh; Mehdi Moradinazar; Behrooz Hamzeh; Zahra Jorjoran Shushtari; Mansour Sajjadipour; Saeid Eslami; Maryam Khosrojerdi; Sahar Shabestari; Amir Houshang Mehrparvar; Zahra Kashi; Azim Nejatizadeh; Mohammadreza Naghipour; Shahrokh Sadeghi Boogar; Ali Fakhari; Bahman Cheraghian; Haydeh Heidari; Parviz Molavi; Mohammad Hajizadeh; Yahya Salimi

doi:10.1186/s12888-020-02596-y

Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study

Farid Najafi, Yahya Pasdar, Behzad Karami Matin, Satar Rezaei, Ali Kazemi Karyani, Shahin Soltani, Moslem Soofi, Shahab Rezaeian, Alireza Zangeneh, Mehdi Moradinazar, Behrooz Hamzeh, Zahra Jorjoran Shushtari, Mansour Sajjadipour, Saeid Eslami, Maryam Khosrojerdi, Sahar Shabestari, Amir Houshang Mehrparvar, Zahra Kashi, Azim Nejatizadeh, Mohammadreza NaghipourShahrokh Sadeghi Boogar, Ali Fakhari, Bahman Cheraghian, Haydeh Heidari, Parviz Molavi, Mohammad Hajizadeh, Yahya Salimi

Research output: Contribution to journal › Article › peer-review

Abstract

Background
Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults.

Methods
The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran.

Results
The estimated E for poor mental health was − 0.012 (95% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status.

Conclusion
There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.

Original language	English
Article number	229
Number of pages	11
Journal	BMC Psychiatry
Volume	20
Issue number	1
DOIs	https://doi.org/10.1186/s12888-020-02596-y
Publication status	Published - 13 May 2020
Externally published	Yes

Keywords

Adult
Cohort Studies
Female
Humans
Iran/epidemiology
Male
Mental Health/economics
Sex Factors
Social Class
Socioeconomic Factors
Surveys and Questionnaires

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s12888-020-02596-y

Cite this

Najafi, F., Pasdar, Y., Karami Matin, B., Rezaei, S., Kazemi Karyani, A., Soltani, S., Soofi, M., Rezaeian, S., Zangeneh, A., Moradinazar, M., Hamzeh, B., Jorjoran Shushtari, Z., Sajjadipour, M., Eslami, S., Khosrojerdi, M., Shabestari, S., Mehrparvar, A. H., Kashi, Z., Nejatizadeh, A., ... Salimi, Y. (2020). Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study. BMC Psychiatry, 20(1), Article 229. https://doi.org/10.1186/s12888-020-02596-y

@article{aaa27aff15644ca8852fce8002605573,

title = "Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study",

abstract = "Background Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults. Methods The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran. Results The estimated E for poor mental health was − 0.012 (95\% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93\%) and age (12.70\%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status. Conclusion There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.",

keywords = "Adult, Cohort Studies, Female, Humans, Iran/epidemiology, Male, Mental Health/economics, Sex Factors, Social Class, Socioeconomic Factors, Surveys and Questionnaires",

author = "Farid Najafi and Yahya Pasdar and \{Karami Matin\}, Behzad and Satar Rezaei and \{Kazemi Karyani\}, Ali and Shahin Soltani and Moslem Soofi and Shahab Rezaeian and Alireza Zangeneh and Mehdi Moradinazar and Behrooz Hamzeh and \{Jorjoran Shushtari\}, Zahra and Mansour Sajjadipour and Saeid Eslami and Maryam Khosrojerdi and Sahar Shabestari and Mehrparvar, \{Amir Houshang\} and Zahra Kashi and Azim Nejatizadeh and Mohammadreza Naghipour and \{Sadeghi Boogar\}, Shahrokh and Ali Fakhari and Bahman Cheraghian and Haydeh Heidari and Parviz Molavi and Mohammad Hajizadeh and Yahya Salimi",

year = "2020",

month = may,

day = "13",

doi = "10.1186/s12888-020-02596-y",

language = "English",

volume = "20",

journal = "BMC Psychiatry",

issn = "1471-244X",

publisher = "Springer Verlag",

number = "1",

}

Najafi, F, Pasdar, Y, Karami Matin, B, Rezaei, S, Kazemi Karyani, A, Soltani, S, Soofi, M, Rezaeian, S, Zangeneh, A, Moradinazar, M, Hamzeh, B, Jorjoran Shushtari, Z, Sajjadipour, M, Eslami, S, Khosrojerdi, M, Shabestari, S, Mehrparvar, AH, Kashi, Z, Nejatizadeh, A, Naghipour, M, Sadeghi Boogar, S, Fakhari, A, Cheraghian, B, Heidari, H, Molavi, P, Hajizadeh, M & Salimi, Y 2020, 'Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study', BMC Psychiatry, vol. 20, no. 1, 229. https://doi.org/10.1186/s12888-020-02596-y

TY - JOUR

T1 - Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study

AU - Najafi, Farid

AU - Pasdar, Yahya

AU - Karami Matin, Behzad

AU - Rezaei, Satar

AU - Kazemi Karyani, Ali

AU - Soltani, Shahin

AU - Soofi, Moslem

AU - Rezaeian, Shahab

AU - Zangeneh, Alireza

AU - Moradinazar, Mehdi

AU - Hamzeh, Behrooz

AU - Jorjoran Shushtari, Zahra

AU - Sajjadipour, Mansour

AU - Eslami, Saeid

AU - Khosrojerdi, Maryam

AU - Shabestari, Sahar

AU - Mehrparvar, Amir Houshang

AU - Kashi, Zahra

AU - Nejatizadeh, Azim

AU - Naghipour, Mohammadreza

AU - Sadeghi Boogar, Shahrokh

AU - Fakhari, Ali

AU - Cheraghian, Bahman

AU - Heidari, Haydeh

AU - Molavi, Parviz

AU - Hajizadeh, Mohammad

AU - Salimi, Yahya

PY - 2020/5/13

Y1 - 2020/5/13

N2 - Background Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults. Methods The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran. Results The estimated E for poor mental health was − 0.012 (95% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status. Conclusion There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.

AB - Background Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults. Methods The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran. Results The estimated E for poor mental health was − 0.012 (95% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status. Conclusion There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.

KW - Adult

KW - Cohort Studies

KW - Female

KW - Humans

KW - Iran/epidemiology

KW - Male

KW - Mental Health/economics

KW - Sex Factors

KW - Social Class

KW - Socioeconomic Factors

KW - Surveys and Questionnaires

U2 - 10.1186/s12888-020-02596-y

DO - 10.1186/s12888-020-02596-y

M3 - Article

C2 - 32404081

SN - 1471-244X

VL - 20

JO - BMC Psychiatry

JF - BMC Psychiatry

IS - 1

M1 - 229

ER -

Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study

Abstract

Keywords

UN SDGs

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